Q: How best to fix breast asymmetry after weight loss? Major constriction on one breast. (Photo)

I have asymmetrical breasts (32 B and full C), with the left being constricted, or tubular. The nipples are the same size and shape and in the same location. I've lost 85lbs (from 217 to 132, at 5'5") and maintained it, and am ready to tackle this issue. I scar badly and would prefer not to do a lift if possible, unless it's my best chance at symmetry. I like the the shape of the right breast, but want implants to fill and correct. My skin is thinner, but still relatively elastic. Suggestions?

A: Would be reasonable to initiate treatment with breast augmentation

Thank you for the photos. They are a good effort on your behalf to provide details of your situation but are limited in interpretation as the "selfies" usually position the arms in positions that exaggerate asymmetries. Nevertheless, your photos provide a good deal of information. I do not see any evidence of base constriction. Your asymmetry is does show some difference in the vertical positions of the nipples. I suspect an augmentation alone may adequately manage the volume disparity, however the nipple positional differences are less predictable. If the magnitude of your asymmetry on examination does not exceed what is visible these photos, I would recommend a breast augmentation and "save" the breast lift for scenarios where the outcome is less than expected. Good luck in your endeavors!

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